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Nuphar 14 is a derivative of Bupleurum and Peony Formula (Jiawei Xiaoyao San; see Ancient and Modern Formulas), a prescription used for regulating the flow of qi (based on Xiaoyao San) and clearing heat (with moutan and gardenia). Bupleurum and Peony Formula is modified here by adding cyperus and chih-shih as additional qi regulating herbs, raw rehmannia to further aid in clearing heat, and salvia, achyranthes, and cnidium for vitalizing blood. Nuphar is included as a key herb for the purpose of aiding the treatment of emotion-caused disorders and protecting the stomach/spleen from the dispersing and cooling therapy; ginger and licorice also help to promote stomach functions. Nuphar is a close relative of lotus, and used as a folk remedy in southern China and in Japan. It is described in Oriental Materia Medica as having these applications: "postpartum bleeding, sedative for nervous women, common cold, stomach tonic." Post-partum bleeding, and other cases of uterine bleeding, are addressed by cooling the blood (see Imperata 10). Sedative action is conferred by the basic Bupleurum and Tang-kuei Formula contained within this prescription, which is available as a patent remedy sometimes called "Bupleurum Sedative Pills." Achyranthes, salvia, cnidium and peony, in addition to vitalizing blood also nourish blood. This formula may be compared with Lindera 15, which is also used to regulate qi and vitalize blood; Nuphar 14 is indicated when there are signs of heat and/or bleeding. To increase the effects of the central herbs of this formula, consider adding Iridoid Complex (White Tiger), which includes nuphar ad the extracts of rehmannia and gardenia.